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影像引导介入治疗中的辐射应用:换个角度思考——影像效用优于影像质量。

Radiation Use in Image-Guided Interventions: Think Differently-Image Utility Over Image Quality.

作者信息

Duncan James R, Thomas M Allan, Barnacle Alex M

机构信息

Mallinckrodt Institute of Radiology, 510 S. Kingshighway Blvd, St. Louis, MO, 63110, USA.

Washington University School of Medicine, 510 S. Kingshighway Blvd, St. Louis, MO, 63110, USA.

出版信息

Cardiovasc Intervent Radiol. 2025 Apr 28. doi: 10.1007/s00270-025-04027-5.

DOI:10.1007/s00270-025-04027-5
PMID:40295403
Abstract

When attempting to optimize radiation use during a fluoroscopic procedure, the aim is to acquire images that adequately address the needs of the different tasks which together comprise the procedure. Naturally, each procedure and its different segments may yield a variety of needs and related images. Ideally, these images should possess just enough information to adequately address the uncertainties of the task at hand. While complex tasks might justify acquiring high quality images with their minimal uncertainty, low quality images with their higher uncertainty, are often sufficient for simple tasks. This shift in perspective indicates a need to focus on the factors that govern the clinical utility of images rather than the more traditional concept of image quality.

摘要

在荧光透视检查过程中试图优化辐射使用时,目标是获取能够充分满足构成该检查过程的不同任务需求的图像。自然地,每个检查过程及其不同部分可能会产生各种需求和相关图像。理想情况下,这些图像应具备足够的信息,以充分解决手头任务的不确定性。虽然复杂任务可能需要获取具有最小不确定性的高质量图像,但具有较高不确定性的低质量图像通常足以满足简单任务。这种观点的转变表明需要关注决定图像临床效用的因素,而不是更传统的图像质量概念。

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本文引用的文献

1
Use of Artificial Intelligence to Reduce Radiation Exposure at Fluoroscopy-Guided Endoscopic Procedures.利用人工智能降低荧光透视引导下内镜检查中的辐射暴露
Am J Gastroenterol. 2020 Apr;115(4):555-561. doi: 10.14309/ajg.0000000000000565.
2
The factors contributing to the total radiation exposure of patients during uterine artery embolisation.子宫动脉栓塞术期间导致患者总辐射暴露的因素。
J Med Radiat Sci. 2019 Sep;66(3):200-211. doi: 10.1002/jmrs.347. Epub 2019 Jul 22.
3
Information overload: when less is more in medical imaging.
信息过载:医学影像中少即是多的情况。
Diagnosis (Berl). 2017 Sep 26;4(3):179-183. doi: 10.1515/dx-2017-0008.
4
Optimizing radiation use during fluoroscopic procedures: a quality and safety improvement project.优化透视检查过程中的辐射使用:一项质量和安全改进项目。
J Am Coll Radiol. 2013 Nov;10(11):847-53. doi: 10.1016/j.jacr.2013.05.008. Epub 2013 Sep 11.
5
Managing image quality and patient dose in the angiography suite: do you really need that image quality?管理血管造影室中的图像质量和患者剂量:你真的需要那样的图像质量吗?
Tech Vasc Interv Radiol. 2010 Sep;13(3):183-7. doi: 10.1053/j.tvir.2010.03.008.
6
Radiation exposure and uterine artery embolization: current risks and risk reduction.辐射暴露与子宫动脉栓塞:当前风险及风险降低措施
Tech Vasc Interv Radiol. 2010 Sep;13(3):148-53. doi: 10.1053/j.tvir.2010.03.002.
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Using information to optimize medical outcomes.利用信息优化医疗结果。
JAMA. 2009 Jun 10;301(22):2383-5. doi: 10.1001/jama.2009.827.